Valid for Submission
J94.9 is a billable diagnosis code used to specify a medical diagnosis of pleural condition, unspecified. The code J94.9 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code J94.9 might also be used to specify conditions or terms like disorder of pleura or disorder of pleura and pleural cavity.
Unspecified diagnosis codes like J94.9 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code J94.9 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Disorder of pleura
- Disorder of pleura and pleural cavity
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|193||SIMPLE PNEUMONIA AND PLEURISY WITH MCC||04||1.3107|
|194||SIMPLE PNEUMONIA AND PLEURISY WITH CC||04||0.863|
|195||SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC||04||0.665|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert J94.9 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code J94.9 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
Your pleura is a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. Between the layers of the pleura is a very thin space. Normally it's filled with a small amount of fluid. The fluid helps the two layers of the pleura glide smoothly past each other as your lungs breathe air in and out.
Disorders of the pleura include
- Pleurisy - inflammation of the pleura that causes sharp pain with breathing
- Pleural effusion - excess fluid in the pleural space
- Pneumothorax - buildup of air or gas in the pleural space
- Hemothorax - buildup of blood in the pleural space
Many different conditions can cause pleural problems. Viral infection is the most common cause of pleurisy. The most common cause of pleural effusion is congestive heart failure. Lung diseases, like COPD, tuberculosis, and acute lung injury, cause pneumothorax. Injury to the chest is the most common cause of hemothorax. Treatment focuses on removing fluid, air, or blood from the pleural space, relieving symptoms, and treating the underlying condition.
NIH: National Heart, Lung, and Blood Institute
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